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Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2016; 35(03): 222-227
DOI: 10.1055/s-0036-1586239
Case Report | Relato de Caso
Thieme Publicações Ltda Rio de Janeiro, Brazil

Spontaneous Resolution of a Traumatic Intracranial Aneurysm

Resolução espontânea de aneurisma traumático intracraniano
Augusto Santos de Jesus
1   Neurosurgery Department, Hospital João XXIII, Belo Horizonte, Minas Gerais, Brazil
,
Bernardo Keuffer Mendonça
1   Neurosurgery Department, Hospital João XXIII, Belo Horizonte, Minas Gerais, Brazil
,
Camila Carvalhais Costa
2   Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
› Institutsangaben
Weitere Informationen

Publikationsverlauf

07. März 2016

08. Juni 2016

Publikationsdatum:
01. August 2016 (online)

   Lizenzen und Reprints

Abstract

Traumatic intracranial aneurysms are rare, and normally result from blunt or penetrating head traumas. Carotid angiography is considered the gold standard and reliable exam to detect this aneurysm. There are specific angiography features that mark the contrasts between a traumatic aneurysm and a common saccular aneurysm. Most authors agree that once the diagnosis is made, surgery is the ideal treatment. This article presents a case of a successful expectant treatment based on the clinical findings of the patient and combined with a constant evaluation of her case. The clinical findings depend on the location and direction of growth of the aneurysm. Traumatic aneurysms of the internal carotid artery (ICA) are unusual, and occur predominantly in the intracavernous portion of that vessel.

Resumo

Aneurismas traumáticos intracranianos são raros, e normalmente resultam de um traumatismo craniano fechado ou penetrante. O exame considerado padrão ouro para detectar esse tipo de aneurisma é a angiografia da circulação carotídea. Existem características específicas das angiografias que diferenciam o aneurisma traumático do aneurisma sacular comum. A maioria dos autores acredita que, quando realizado o diagnóstico, o melhor tratamento é a cirurgia. O artigo apresenta um caso de tratamento conservador que evolui com sucesso, baseado nos achados clínicos da paciente, e combinado com avaliação constante do caso. Os achados clínicos na paciente dependem da localização e da direção de crescimento do aneurisma. Aneurismas traumáticos da artéria carótida interna (ACI) são raros, e ocorrem predominantemente na sua porção intracavernosa.

Keywords

brain injuries - intracranial aneurysm - craniocerebral trauma - cerebral angiography - spontaneous remission - carotid arteries

Palavras-chave

traumatismos encefálicos - aneurisma intracraniano - traumatismos craniocerebrais - angiografia cerebral - remissão espontânea - artérias carótidas
 

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